{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T13:20:48Z","timestamp":1783689648444,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T00:00:00Z","timestamp":1636502400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","award":["2018\u20107532"],"award-info":[{"award-number":["2018\u20107532"]}],"id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["PPRN\u20101306\u201004811"],"award-info":[{"award-number":["PPRN\u20101306\u201004811"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Aims were to <jats:italic>1<\/jats:italic>) to characterize patient decision\u2010making with treatment for axial spondyloarthritis (axSpA) and <jats:italic>2<\/jats:italic>) to explore relationships among decision\u2010making, treatment satisfaction, and biologic disease modifying antirheumatic drugs (bDMARDs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>ArthritisPower participants with physician\u2010diagnosed axSpA were invited to complete an online survey about their treatment and their most recent physician visit. Analysis compared treatment decision by satisfaction and bDMARD status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 274 participants, 87.2% were female, and the mean age was 50\u2009years. Of participants, 79.5% had researched treatment before their most recent physician visit, and 56.9% discussed treatment change at their most recent physician visit. Of treatment\u2010change discussions, 69.2% of them were related to escalation, compared with deescalation (27.6%) and\/or switching (39.1%). Among those participants who discussed a change, 73.7% agreed to it because they felt that their disease was not being controlled (54.9%) or felt that it could be better controlled on new treatment (20.3%). Top symptoms prompting change were back\/buttock pain (63.3%), other joint pain (55.1%), and fatigue (54.1%). Among bDMARD\u2010treated participants (n\u00a0=\u00a0128), important factors for treatment decisions were prevention of long\u2010term axSpA consequences (92.9%) and doctor's advice (87.5%). Among 43.4% of participants reporting treatment dissatisfaction, 37% did <jats:italic>not<\/jats:italic> discuss treatment change. Current bDMARD use was more common in satisfied (61.9%) than dissatisfied participants (26.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this cross\u2010sectional study of a predominantly female axSpA population, patients frequently researched treatment options and discussed escalation with their providers. Under two\u2010thirds of participants who were dissatisfied with treatment discussed changes at their most recent visit. Current bDMARD use was associated with higher satisfaction, and bDMARD users considered prevention of long\u2010term consequences and doctor's advice to be very important for decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr2.11365","type":"journal-article","created":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T11:51:10Z","timestamp":1636545070000},"page":"85-94","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Treatment Satisfaction and Decision\u2010making from the Patient Perspective in Axial Spondyloarthritis: <scp>Real\u2010World<\/scp> Data from a Descriptive Cross\u2010sectional Survey Study from the <scp>ArthritisPower<\/scp> Registry"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4951-6476","authenticated-orcid":false,"given":"William Benjamin","family":"Nowell","sequence":"first","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2615-4940","authenticated-orcid":false,"given":"Kelly","family":"Gavigan","sequence":"additional","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8412-9175","authenticated-orcid":false,"given":"Theresa","family":"Hunter","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William N.","family":"Malatestinic","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca J.","family":"Bolce","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey R.","family":"Lisse","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Himelein","sequence":"additional","affiliation":[{"name":"Eli Lilly and Company  Indianapolis Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-8976","authenticated-orcid":false,"given":"Jeffrey R.","family":"Curtis","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham  Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4563-0845","authenticated-orcid":false,"given":"Jessica A.","family":"Walsh","sequence":"additional","affiliation":[{"name":"University of Utah  Salt Lake City Utah"},{"name":"George E. 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